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Knee arthroscopies: who gets them, what does the radiologist report, and what does the surgeon find?

Background and purpose - Several randomized controlled trials have not shown any added benefit of arthroscopy over placebo surgery or physiotherapy in middle-aged patients with knee symptoms without trauma. We studied the characteristics of the knee arthroscopies performed in southern Sweden. Patients and methods - From the orthopedic surgical records from 2007-2009 in the Skåne region of Sweden (

Integrating Climate Change Adaptation into Disaster Risk Reduction in Urban Contexts: Perceptions and Practice

This paper analyses the perceptions of disaster risk reduction (DRR) practitioners concerning the on-going integration of climate change adaptation (CCA) into their practices in urban contexts in Nicaragua. Understanding their perceptions is important as this will provide information on how this integration can be improved. Exploring the perceptions of practitioners in Nicaragua is important as th

Advancing the Field of Disaster Response Management : Toward a Design Science Approach

Multiorganizational response to emergencies and disasters requires collaboration. How to improve the collective response is therefore an essential question, but not easy to answer. In disaster research, normative research with a focus on providing evidence for how to improve professional practice has traditionally received less attention than explanatory ones. The aim of this article, using insigh

"What's the problem?"-Toward a framework for collective problem representation in emergency response management

Responding to today's often transboundary emergencies, frequently characterized by unclear root causes and indistinct responsibilities as well as multiple actors, will require that responding actors come together to meet societal needs and solve problems arising in relation to those needs. In collective problem solving, representing the problem is crucial, especially in emergency situations, where

Förslag till ett samverkanssystem för svenska länsstyrelser

This report is a first attempt to use the design perspective we have developed in earlier reports in this series (Brehmer & Tehler, 2013: Tehler & Brehmer, 2013) in practical design of a system that would help Swedish County Administration Boards to meet their area responsibility in cases of major crises and accidents in their counties. The work starts with the development of a design hier

Dependence, trust, and influence of external actors on municipal urban flood risk mitigation : The case of Lomma Municipality, Sweden

Floods constitute a major problem that cross geopolitical, administrative, and sectoral boundaries, and must as such be jointly governed by a web of actors. The patterns of social relations among these actors are fundamental for society's capacity to mitigate flood risk. The purpose of this study is to contribute to our understanding of flood risk governance by investigating the social organizatio

A GIS-based approach to compare economic damages of fluvial flooding in the Neckar River basin under current conditions and future scenarios

Fluvial floods can cause significant damages and are expected to increase in magnitude and frequency throughout the twenty-first century due to global warming. Alongside hazard characteristics, damage potentials depend on exposure and vulnerability, which are changing in the wake of socio-economic developments. In the context of continuously evolving damage-causing factors, assessments of future c

Improved identification of Streptococcus bovis-Streptococcus equinus-complex species and subspecies by MALDI-TOF MS using a novel library

ObjectivesTo develop an in-house matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) library for improved identification of species and subspecies of the Streptococcus bovis/Streptococcus equinus-complex (SBSEC).Methods236 SBSEC isolates from blood stream infections and culture collections, determined by whole genome sequencing to subspecies level, were grow

Scoping the field of disaster exercise evaluation - A literature overview and analysis

The evaluation of emergency, disaster and crisis management exercises supports both individual and organisational learning, facilitates the development of response capabilities, and helps to determine whether the current level of preparedness is good enough. Nevertheless, despite its importance in the field of disaster risk management, there is a lack of a comprehensive overview of research in the

Critical infrastructures and the tragedy of the commons dilemma : Implications from institutional restructuring on reliability and safety

Through the influence of neoliberal ideas, many critical infrastructures that used to be under public ownership have been opened up for market competition. Using the Swedish railway system as a case, this paper empirically explores whether such reforms have given rise to common-pool resource problems, and discusses possible implications. The results show that institutional restructuring has create

Scrutinizing the relationship between adaptation and resilience : Longitudinal comparative case studies across shocks in two Nepalese villages

Growing concerns regarding the vulnerability of communities to natural disasters and climate-related hazards and risks have caused attention to be increasingly directed towards adaptation and resilience as important policy prescriptions. These two concepts are commonly becoming normative when used in this context and seen as intrinsically linked to each other, i.e. adaptation leads to resilience a

Capability assessments - How to make them useful for decision-making

Capability assessments are becoming increasingly common as part of risk management activities worldwide. Despite this, there is no consensus concerning how these assessments are best conducted and presented. Recent studies suggest that two factors may influence the usefulness of capability assessments for decision-making: namely, whether the assessment includes descriptions of the resources availa

Risk of sick leave and disability pension in working-age women and men with knee osteoarthritis.

OBJECTIVES: To investigate sick leave and disability pension in working-age subjects with knee osteoarthritis (OA) compared with the general population. METHODS: Population-based cohort study: individual-level inpatient and outpatient Skåne Health Care Register data were linked with data from the Swedish Social Insurance Agency. In 2009 all working-age (16-64 years) Skåne County residents who i

Perceived Adverse Effects of Separating Government Institutions for Disaster Risk Reduction and Climate Change Adaptation Within the Southern African Development Community Member States

Integration of disaster risk reduction (DRR) and climate change adaptation (CCA) is widely recognized as a solution for reducing the risk and impacts of disasters. However, successful integration seems elusive, and the two goals continue to function in isolation and in parallel. This article provides empirical insights into the perceived effects of separating government institutions for DRR and CC